Product image of Ilomedin (Iloprost Trometamol) supplied by GNH India

Ilomedin

Active Ingredient:
Iloprost Trometamol
Origin:
EU

Ilomedin (Iloprost Trometamol)

Iloprost trometamol, the active ingredient in Ilomedin, is a prostacyclin analog presented as a sterile intravenous solution for intravenous use. It is employed to manage pulmonary arterial hypertension, digital ischemia, and Raynaud's phenomenon in adult patients.
GNH India supplies Ilomedin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bayer Oy

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Indications & Clinical Uses

  • Ilomedin is a prostacyclin analog used in vascular disorders that benefit from vasodilation and platelet inhibition.
  • Pulmonary arterial hypertension: improves exercise capacity and reduces pulmonary vascular resistance.
  • Digital ischemia: restores blood flow to ischemic digits, relieving pain and promoting healing.
  • Raynaud's phenomenon: alleviates vasospasm episodes and improves peripheral circulation.

How It Works

  • Iloprost trometamol mimics endogenous prostacyclin (PGI2) by activating the IP receptor on vascular smooth muscle cells, leading to increased cyclic AMP levels. This cascade causes potent vasodilation, inhibits platelet aggregation, and exerts antiproliferative effects on the vascular wall, thereby improving blood flow in affected vascular beds.

Side Effects

Ilomedin may cause a range of adverse reactions, most of which are related to its vasodilatory properties.

Common Side Effects

  • Headache: mild to moderate, often transient.
  • Flushing: warm sensation and reddening of skin.
  • Nausea or vomiting: gastrointestinal discomfort.
  • Jaw or dental pain: discomfort during infusion.
  • Hypotension: mild drop in blood pressure.
  • Cough or throat irritation: related to IV administration.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure fall requiring intervention.
  • Pulmonary edema: fluid accumulation in lungs.
  • Significant bleeding: due to platelet inhibition.
  • Thrombocytopenia: reduced platelet count.
  • Anaphylactic reaction: rare hypersensitivity.
  • Chest pain or myocardial ischemia: rare cardiac events.

Precautions & Warnings

  • When prescribing Ilomedin, clinicians should consider several safety measures.
  • Monitor blood pressure: check regularly for hypotension during and after infusion.
  • Assess bleeding risk: avoid in patients with active hemorrhage or uncontrolled coagulopathy.
  • Use caution in renal impairment: adjust monitoring as renal clearance may be affected.
  • Avoid in pregnancy unless benefits outweigh risks: limited human data available.
  • Avoid in severe hepatic impairment: insufficient safety data.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ilomedin can interact with other medications that affect vascular tone or coagulation.

Major Interactions (Avoid)

  • Concomitant potent vasodilators (e.g., nitroglycerin): may cause severe hypotension.
  • Anticoagulants (e.g., warfarin, heparin): increased risk of bleeding.
  • Endothelin receptor antagonists: additive vasodilatory effect.

Moderate Interactions (Monitor Closely)

  • Phosphodiesterase inhibitors (e.g., sildenafil): may enhance vasodilation.
  • CYP450 enzyme inhibitors: potential alteration of iloprost metabolism.
  • Other prostacyclin analogs: increased incidence of adverse events.

Frequently Asked Questions

Ilomedin is indicated for the management of pulmonary arterial hypertension, digital ischemia, and Raynaud's phenomenon. In each case, the drug works by dilating blood vessels and inhibiting platelet aggregation, helping to improve blood flow and reduce symptoms associated with these vascular disorders.

Iloprost trometamol mimics the natural prostacyclin (PGI2) by binding to IP receptors on vascular smooth‑muscle cells. This activation raises cyclic AMP levels, causing smooth‑muscle relaxation, vasodilation, inhibition of platelet aggregation, and antiproliferative effects, which together improve circulation in affected vessels.

The dosing regimen for Ilomedin is individualized by the prescribing clinician based on the specific indication, patient condition, and response to therapy. Healthcare professionals determine the infusion rate, concentration, and duration according to established clinical guidelines and patient monitoring.

Safety data for Ilomedin in pregnancy and lactation are limited. It should only be used if the potential benefits justify the potential risks to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss risks and alternatives with their healthcare provider.

To request Ilomedin, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and necessary import documentation.

Ilomedin (iloprost) is a synthetic prostacyclin analog administered intravenously, offering rapid onset and short half‑life compared with longer‑acting agents such as epoprostenol or treprostinil. Its dosing flexibility allows titration to effect, but it requires continuous infusion and careful monitoring, whereas some alternatives are available for subcutaneous or inhaled routes.

Ilomedin should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Do not use the product if it has been exposed to temperatures outside this range.

Ilomedin is supplied as a sterile intravenous solution and is administered by continuous infusion through a dedicated IV line. The infusion rate is set by the prescriber and adjusted based on clinical response and tolerability, with regular monitoring of vital signs during treatment.

The most serious risks include severe hypotension, pulmonary edema, significant bleeding, thrombocytopenia, and rare anaphylactic reactions. Patients should be closely monitored for sudden drops in blood pressure, respiratory distress, bleeding signs, or allergic symptoms, and treatment should be stopped if any serious adverse event occurs.

Ilomedin is contraindicated in patients with known hypersensitivity to iloprost or any component of the formulation, those with active uncontrolled bleeding, severe hypotension, or in whom vasodilation could be hazardous. Caution is also advised for individuals with severe hepatic or renal impairment, and it should be avoided during pregnancy unless absolutely necessary.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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